Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jae Myung Shim, DDS

Individual provider General Practice Dentistry · NPI 1669504221

Dr. Jae Myung Shim, DDS is a General Practice Dentistry in Waukegan, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1800 Grand Ave
Waukegan, IL 60085-3582
Phone: (847) 336-4180
Fax: (847) 336-4190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)

Record details

NPI number1669504221
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 8, 2007

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